COVID-19 related fears and adherence to infection control protocol amongst immunocompromised transplant recipients: A case study.

Abstract

Transplant recipients are at a high risk of critical COVID-19 illness due to chronic immunosuppression and their underlying medical condition. Our objective was to study the COVID-19 related fears and adherence to infection control measures in solid organ transplant recipients during COVID-19 pandemic. A descriptive study was conducted during the first wave of COVID-19 pandemic (April- August 2020) in Punjab, Pakistan, as a part of province wide COVID-19 awareness drive 754 recipients registered at Punjab Human Organ Transplantation Authority (P-HOTA) for solid organ transplant were contacted telephonically and administered a self-constructed questionnaire. The participants' response was linked to demographic, anthropometric and disease characteristics available in organizational data base. Seven hundred fifty four patients who had undergone transplant or were on list during the time period 2018-2020 were identified from data base of PHOTA. 648 patients were contacted while 80 were found to have expired post- transplant and 26 recipients were still on the waiting list. The median age was 31-40 years, with male predominance (5:1). A majority of patients (93%) were found to be well informed about corona infection and its impact on their illness (89%) but (59%) of the recipients had a fear score 25-34(severe) of acquiring infection with female predominance (61%). All the recipients adhered to measures like wearing masks, frequent hand washing and maintaining safe distance .65.9% patient's preferred online consultation while (77.9%) patients left their shoes outside their house. During the first wave of COVID-19 pandemic Solid Organ Transplant patients seemed well informed of COVID-19 infection and adhered to precautionary measures against the infections. About 78% of recipients reported that their health and quality of health care (61.1%) during this period remained the same while 3.4% reported of being infected or a contact history with COVID-19 patients.